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September 3, 1887


JAMA. 1887;IX(10):305-306. doi:10.1001/jama.1887.02400090017003

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Metrorrhagia at the Time of Puberty.  —In an article on this subject Dr. Henry C. Coe says: As regards the treatment, I can only add that it should be largely expectant, since the hæmorrhage tends to cease spontaneously. Absolute rest in the recumbent posture, with the avoidance of all disturbing influences, is generally sufficient. The patient ought not to be allowed to get out of bed for the purpose of emptying the bladder or bowel; neither should be permitted to become distended, since this tends to increase the hæmorrhage. On the other hand, violent purgation is equally to be avoided, since it augments the pelvic congestion.As regards drugs, the fluid extract of Hydrastis canadensis has been highly recommended in uterine hæmorrhage, but it did not seem to act so well in this case as ergot. I have not met with such good results from the use of aromatic sulphuric

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